The rise of trust doctors

doi:10.1136/bmj.327.7421.943

BMJ 2003;327:943-944 (25 October), doi:10.1136/bmj.327.7421.943

Editorial

The rise of trust doctors

Stop exploiting them and start rewarding their input

The first 150 words of the full text of this article appear below.

Non standard grade doctors—more commonly called trustdoctors—are a relatively new phenomenon in the UnitedKingdom. They have several different titles, but essentiallythey have arisen as a means by which hospital trusts can employadditional junior doctors, despite the Department of Health'sceiling on training grade numbers, which exists to prevent abottleneck at specialist level. Trust doctors are employed bytrusts (local hospitals) for service and are therefore not regulatedby the royal colleges or the deaneries (departments of postgraduatemedical education). There were few posts for trust doctors inthe United Kingdom until the introduction of stricter regulationsof hours for junior doctors. Trusts most commonly state thatthey employ trust doctors as a direct result of these changes.However, the big picture regarding trust doctors is only justemerging ^1
2—they are employed mainly in the acute specialties,a significant number work at specialist registrar level, and. . . [Full text of this article]

Nicola Cooper, specialist registrar in general internal medicine and care of the elderly

3 Teale Court, Mansion Gate, Chapel Allerton, Leeds LS7 4AY (nacooper@doctors.org.uk)

William Burr, dean for postgraduate medical education, Yorkshire

Department of Care of the Elderly, Leeds Teaching Hospitals NHS Trust, St James's University Hospital, Leeds LS9 7TF

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